摘要
目的基于新型冠状病毒肺炎的发病特征、临床症状及遭遇的外在气候特点的相关论述,结合中医辨证论治的思想,以其病因病机、脏腑等基本特点,综合分析及辨认新型冠状病毒肺炎的中医证候,以期为本病的诊疗提供科学的思路。方法通过分析各医家诊治新型冠状病毒的经验及认识并结合国家卫健委发布的诊疗方案,结合自己的感悟,对本病的病因、病机、中医辨证方面进行初步的论述分析。结果新型冠状病毒肺炎隶属于"疫病"范围,肺与脾为主要病位,外感六淫主要为湿邪和燥邪。八纲辨证方面涉及表里、寒热、虚实方面;气血津液辨证可能存在着气虚、气血两虚、气逆,津液亏损;脏腑辨证方面五脏均有涉及;就六经辨证而言,初期病邪侵袭太阳或直中太阴,继而发展入侵阳明或少阳,疾病再进一步发展,终致少阴;从卫气营血辨证方面分析新型冠状病毒肺炎,病情进展会依照卫分证、气分证、营分证、血分证发展;根据三焦辨证而言,当上焦肺卫表证不解,则顺传入中焦,中焦失于救治,病邪侵入下焦,就会导致真阴亏耗。结论从八纲辨证、六淫辨证、气血津液辨证、脏腑辨证、六经辨证、卫气营血辨证、三焦辨证分析本病,以期扩展中医研究新型冠状病毒肺炎的思路,为中医药防治新型新冠肺炎提供一定参考。
Objective Based on the relevant discussion on the pathogenesis,clinical symptoms and external climate characteristics of coronavirus disease 2019 (COVID-19),combined with the idea of TCM syndrome differentiation and treatment,and based on its etiology,pathogenesis,Zang-Fu organs and other basic characteristics,the TCM syndromes of COVID-19 were comprehensively analyzed and identifiedso as to provide scientific ideas for the diagnosis and treatment of this disease.Methods By analyzing the experience of medical experts on the diagnosis and treatment of COVID-19 and combining with the diagnosis and treatment plan issued by the National Health Commission and their own feelings,the etiology,pathogenesis and syndrome differentiation of THIS disease were preliminarily discussed and analyzed. Results COVID-19 was classified as " epidemic disease",with lung and spleen as the main disease sites,and the main pathogenic factors were dampness and dryness.Eight aspects of syndrome differentiation involvedthe exterior and interior,cold and heat,deficiency and excess. Syndrome differentiation of Qi,blood and body fluid may have Qi deficiency syndrome,Qi and blood deficiency syndrome,Qi inversion syndrome and body fluid deficiency syndrome. The five Zang-Fu organs were involved in syndrome differentiation. According to the differentiation of syndromes of the six meridians,the initial pathogenic factors invaded Taiyang or Shaoyang,and then developed into Yangming or Shaoyang. The disease developed further and eventually leaded to Shaoyin. Analysis of COVID-19 from the perspective of syndrome differentiation of Qi and Yingxue showed that the disease progression would be based on Wei syndrome,Qi syndrome,Ying syndrome and blood syndrome. According to the syndrome differentiation of three-Jiao,when the upper-Jiao lung Wei syndrome would enter the middle-Jiao and the middle-Jiao would be lost in treatment,and the pathogen would invade the lower-Jiao,leading to the loss of true Yin. Conclusion This paper analyzed the disease from the aspects of eight principles syndrome differentiation,syndrome differentiation of the six evils,syndrome differentiation of Qi and blood,syndrome differentiation of Zang-Fu organs,six-meridian syndrome differentiation,syndrome differentiation of Wei-Qi-Ying-blood,three-Jiao syndrome differentiation,in order to expand the thinking of TCM research on COVID-19 and provide certain reference for TCM prevention and treatment of COVID-19.
作者
赵婷婷
赵耀东
蒋梅霞
刘娟娟
陈梓瑜
韩聪
ZHAO Tingting;ZHAO Yaodong;JIANG Meixia;LIU Juanjuan;CHEN Ziyu;HAN Cong(Gansu University of Chinese Medicine,Lanzhou 730000,Gansu,China)
出处
《实用中医内科杂志》
2020年第12期29-32,共4页
Journal of Practical Traditional Chinese Internal Medicine
基金
国家中医药管理局甘肃郑氏针法学术流派传承工作室建设项目(9983999957)
甘肃省中医药管理局中医药科研项目(GZK-2016-16)。
关键词
新型冠状病毒肺炎
病因病机
八纲辨证
六淫辨证
气血津液辨证
脏腑辨证
六经辨证
卫气营血辨证
三焦辨证
COVID-19
etiology and pathogenesis
eight principles syndrome differentiation
syndrome differentiation ofsix evils
syndrome differentiation of Qi and blood
syndrome differentiation of Zang-Fu organs
six-meridian syndrome differentiation
syndrome differentiation of Wei-Qi-Ying-blood
three-Jiao syndrome differentiation
